Total Drug Expenditures
(includes enrollee payment,
plan payment & manufacturer
discount)
(varies
depending
on mix of
brand-name
and generic
$3,310
$360
$0
CATASTROPHIC COVERAGE
Plan Pays
Enrollee Pays:
Greater of
5% or $7.40
brand/$2.95 generic
COVERAGE GAP (DONUT HOLE)
Plan Pays:
for
generic
drugs and
5% for
brand-name
Drug Manufacturer
Discount: 50%
for brand name
Enrollee
Pays:
58% of cost
drugs.
of generic
(This discount is
drugs and
counted as an
45% of cost
enrollee out-of-
of brand-
drugs
pocket expenditure.)
name drugs
INITIAL COVERAGE
Plan Pays:
($2213)
Enrollee Pays:
($738)
DEDUCTIBLE
Enrollee Pays: $360
Enrollee Out-of-Pocket
Cost
$4, 850 -Annual out-of-
pocket threshold
$1,098
- Initial Coverage
$360
- Deductible
$0
seniorhealthcaredirect.com